[Coronary intravascular lithotripsy in coronary artery disease]

Larrea N, Augustovski F, Alfie V, Navarro E, Ciapponi A, Bardach A, García Martí S, Pichon Riviere A, Alcaraz A
Record ID 32018004428
Original Title: Litotricia intravascular coronaria en enfermedad coronaria
Authors' recommendations: Very low-quality evidence does not allow to draw conclusions on the effectiveness/safety of the use of coronary intravascular lithotripsy prior to stent implantation during a percutaneous coronary intervention in patients with severe coronary calcification. No evidence was found supporting its use in other patient populations with coronary disease either. It is necessary to conduct comparative studies with high-quality evidence that allow assessing its efficacy and safety. Only one clinical practice guideline recommends (with weak recommendation) its use as a therapeutic option in patients with severe coronary artery calcification to improve the success of the immediate post-lithotripsy percutaneous coronary intervention. The remaining clinical practice guidelines analyzed do not mention this technology or have not been updated after the introduction of this technology. Among the coverage policies analyzed, one United States health funder covers this technology to be used in coronary arteries or a single main branch, whereas the British state health funder does not cover it routinely and only considers its use under special agreements or circumstances. No other state or private health funders have been found, covering this technology. No economic evaluations or budget impact studies on this technology were found during the search carried out.
Project Status: Completed
Year Published: 2022
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Argentina
MeSH Terms
  • Coronary Artery Disease
  • Vascular Calcification
  • Stents
  • Lithotripsy
  • Coronary Restenosis
Organisation Name: Institute for Clinical Effectiveness and Health Policy
Contact Address: Dr. Emilio Ravignani 2024, Buenos Aires - Argentina, C1414 CABA
Contact Name: info@iecs.org.ar
Contact Email: info@iecs.org.ar
Copyright: Institute for Clinical Effectiveness and Health Policy (IECS)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.